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Blood, 15 February 2008, Vol. 111, No. 4, pp. 2492.
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CORRESPONDENCE
FMC7 is an epitope of CD20
To the editor:
The FMC7 antibody, originally described in 1981,1 detects an antigen expressed on mature human B cells and is used in immunophenotypic analysis and differential diagnosis of lymphomas and leukemias. The identity of the FMC7 antigen was unclear for many years. An early unconfirmed report indicated that it might be a 105 kDa protein, based on a Western blot using FMC7 and a radio-iodinated secondary antibody.2 This finding may have deflected attention from the possibility that FMC7 was related to the 33 kDa B-cell antigen, CD20, even though the expression of FMC7 generally correlates well with that of CD20.3,4 Serke et al provided the first evidence that FMC7 is an epitope on the CD20 molecule itself.5 Their study showed that transient transfection of CD20 in the human K562 erythroleukemia cell line caused expression of FMC7 in approximately half of CD20-expressing cells. The data were not definitive, as weak expression and the use of a human hematopoeitic cell line allowed for the alternate interpretation that ectopically expressed CD20 may have upregulated another protein reactive with the FMC7 antibody. In 2003 we confirmed and extended their finding, demonstrating that FMC7 was very strongly and uniformly expressed on 100% of CD20-transfected non–B cells, even of nonhuman, nonhematopoietic origin.6 Furthermore, point mutations in the extracellular region of CD20 destroyed the FMC7 epitope along with all other extracellular CD20 epitopes.6,7 In unpublished data, we have found that deletions in the intracellular regions of CD20 also profoundly reduce FMC7 expression, presumably by affecting CD20 conformation.
Importantly, the epitope is unusually sensitive to levels of membrane cholesterol.6 FMC7 expression will be different in cells expressing the same amount of CD20 if the cholesterol level varies, as it does among cell lines and during B-cell maturation.8 This provides an explanation for why the correlation between FMC7 and endogenous CD20 expression, while strong, is not strictly held. Cholesterol sensitivity is a common but variable feature of antibodies that detect extracellular CD20 epitopes (Figure 1). Among the 15 antibodies that we tested, FMC7 and one other antibody, CAT13.7H, fall at the extreme end of sensitivity, while rituximab and several other CD20 antibodies are far less affected.
Regrettably, the description by vendors and others of FMC7 as an unidentified 105 kDa antigen persists.9 We hope with this letter to clarify for a wider audience of hematologists and pathologists that FMC7 is, in fact, an epitope of CD20.
Authorship
Conflict-of-interest disclosure: The authors declare no competing financial interests.
Correspondence: Julie P. Deans, Department of Biochemistry and Molecular Biology, Immunology Research Group, Insititute of Infection, Immunity and Inflammation, University of Calgary, Calgary, Alberta, Canada; e-mail: jdeans{at}ucalgary.ca
Julie P. Deans, and
Maria J. Polyak
References
- Catovsky D, Cherchi M, Brookss D, Bradely J, Zola H. Heterogeneity of B-cell leukemias demonstrated by the monoclonal antibody FMC7. Blood 1981; 58:406–408.[Abstract/Free Full Text]
- Zola H, Neoh SH, Potter A, Melo JV, De Oliveria MS, Catovsky D. Markers of differentiated B cell leukaemia: CD22 antibodies and FMC7 react with different molecules. Dis Markers 1987; 5:227–235.[Medline]
[Order article via Infotrieve]
- Hübl W, Iturraspe J, Braylan RC. FMC7 antigen expression on normal and malignant B-cells can be predicted by expression of CD20. Cytometry 1998; 34:71–74.[CrossRef][Medline]
[Order article via Infotrieve]
- Delgado J, Matutes E, Morilla AM, et al. Diagnostic significance of CD20 and FMC7 expression in B-cell disorders. Am J Clin Pathol 2003; 120:754–759.[CrossRef][Medline]
[Order article via Infotrieve]
- Serke S, Schwaner I, Yordanova M, Szczepek A, Huhn D. Monoclonal antibody FMC7 detects a conformational epitope on the CD20 molecule: evidence from phenotyping after rituxan therapy and transfectant cell analyses. Cytometry 2001; 46:98–104.[CrossRef][Medline]
[Order article via Infotrieve]
- Polyak MJ, Ayer LM, Szczepek AJ, Deans JP. A cholesterol-dependent CD20 epitope detected by the FMC7 antibody. Leukemia 2003; 17:1384–1389.[CrossRef][Medline]
[Order article via Infotrieve]
- Polyak MJ and Deans JP. Alanine-170 and proline-172 are critical determinants for extracellular CD20 epitopes; heterogeneity in the fine specificity of CD20 monoclonal antibodies is defined by additional requirements imposed by both amino acid sequence and quaternary structure. Blood 2002; 99:3256–3262.[Abstract/Free Full Text]
- Karnell FG, Brezski RJ, King LB, Silverman MA, Monroe JG. Membrane cholesterol content accounts for developmental differences in surface B cell receptor compartmentalization and signaling. J Biol Chem 2005; 280:25621–25628.[Abstract/Free Full Text]
- Inamdar KV and Bueso-Ramos CE. Pathology of chronic lymphocytic leukemia: an update. Ann Diagn Pathol 2007; 11:363–389.[CrossRef][Medline]
[Order article via Infotrieve]

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